In clinical treatment of andrology, male patients often report that their testicles are much smaller than normal people. They worry about whether the testicles can function normally and whether the quality of sperm can be guaranteed. Many andrologists recommend that patients make judgments through scientific physical examinations and testing methods. If it is physiologically smaller, don't worry too much. If there is a problem, treatment is needed. There are many reasons for pathological testicular shrinkage, the most common of which are chronic wasting diseases, endocrine disorders (hypothyroidism and hypopituitarism), persistent high fever, taking large amounts of female hormones, viral orchitis (such as mumps complicated with orchitis), testicular syphilis, etc. These diseases can cause testicular atrophy, resulting in a volume smaller than normal. Pathological testicular atrophy and shrinkage usually affects spermatogonia or spermatocytes in the seminiferous tubules. When these cells atrophy, they cannot produce sperm, or are damaged and cannot produce normal sperm. In addition to the testicular atrophy and shrinkage, infertility is often associated. However, because interstitial cells that secrete male hormones are less affected, Therefore, it generally does not affect the development of male reproductive organs and male secondary characteristics (such as beard growth, lower voice, prominent Adam's apple, muscular development, etc.). However, from a clinical perspective, severe testicular atrophy leading to infertility is not uncommon. Whether testicular atrophy is accompanied by fertility disorders can be examined by semen microscopy. If the sperm count per milliliter of semen is less than 20-60 million, and the activity function is reduced and the morphology is abnormal, infertility should be considered. Men's testicles are smaller than normally developed. In clinical practice, they can be treated by massaging and caring for the testicles, and taking some medicines that help to strengthen the body and replenish qi and blood. This can give men the confidence to lead a normal life and marriage. In fact, men should have confidence that sexual ability and reproductive ability are not necessarily determined by the size of the testicles. |
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